Avonts D, Piot P
Eur J Obstet Gynecol Reprod Biol. 1985 Jul;20(1):53-9. doi: 10.1016/0028-2243(85)90083-8.
We studied the prevalence of genital infections and the frequency of infectious complications in 170 women who requested an abortion in Antwerp, Belgium, where termination of pregnancy is still illegal. Chlamydia were isolated in 12% of these women, compared to a 0.6% isolation rate for N. gonorrhoeae. After the abortion 5.5% developed PID and 3% endometritis. There was a strong correlation between an infection with C. trachomatis before abortion and the appearance of infectious complications after the aspiration curettage. No such relationship was found with any other micro-organism. Depending on the prevalence of C. trachomatis in a given population, screening followed by selective treatment or prophylactic use of antimicrobial medication for all women is indicated to prevent post-abortum infections.
我们对170名在比利时安特卫普要求堕胎的女性进行了研究，该地区堕胎仍然违法。我们研究了她们生殖器感染的患病率以及感染并发症的发生率。这些女性中12%分离出衣原体，相比之下，淋病奈瑟菌的分离率为0.6%。堕胎后，5.5%的女性发生了盆腔炎，3%发生了子宫内膜炎。堕胎前沙眼衣原体感染与刮宫术后感染并发症的出现之间存在强烈关联。未发现与任何其他微生物有此类关系。根据特定人群中沙眼衣原体的患病率，建议对所有女性进行筛查，随后进行选择性治疗或预防性使用抗菌药物，以预防堕胎后感染。
